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WorksheetsLower limb swelling
Total questions: 10
Worksheet time: 4mins
Which is/are the causes of non pitting oedema?
Can choose more than 1 answer.
chronic venous insufficiency
hypothyroidism
malnutrition
moderate and severe lymphedema
A 56 year old gentleman, a chronic smoker, presents with a history of progressively lower limb swelling for the past one year. He is otherwise well.
He is a hawker.
What is your diagnosis?
chronic heart failure
chronic venous insufficiency
underlying liver disease
lympaedema
a 45 year old obese gentleman presents to you with progressively lower limb swelling for the past three months.
He becomes tired and has shortness of breath when he walks for 200meters.
He always feels sleepy during the daytime. He has no skin changes over his lower limbs.
What is your diagnosis?
hear failure
chronic venous insufficiency
pulmonary hypertension
idiopathic oedema
A 23 year old lady presents to you with acute onset of left lower limb swelling for one day.
She has just delivered a baby boy three days ago.
What is the possible cause of her left leg swelling?
Left Deep Venous Thrombosis
Left cellulitis
Left popliteal cyst
left lymphangitis
A patient presents with acute shortness of breath. You order a CXR.
Which is NOT the cause that contribute to the above radiogragh findings?
acute coronary syndrome
acute respiratory distress syndrome
acute glumerulonephritis
acute liver failure
A 67 year old gentleman with history of diabetes and hypertension, presents to you with a history of progressively lower limb swellings associated with shortness of breath for the past one week. He also complaints of reduce urine output.
Which of the following NOT a clinical feature that favor his presentation is a chronic condition?
anaemia
ultrasound shows small kidney
reduce urine output
hyperphosphatemia
A 45 year old lady, hypertension on tablet amlodipine, presents to you with bilateral leg swelling associated symptoms such as dyspnea and reduce effort tolerance.
On examination, you notice extra heart sounds, hepatomegaly, lung rales, and elevated jugular venous pressure.
What is your diagnosis?
acute heart failure
side effect of amlodipine
acute liver failure
acute renal failure
If the initial history and examination do not suggest a particular cause of chronic bilateral leg edema,
Which is/are the investigation/s that you would like to order?
You may choose more than one answer.
,
urine dipstick for protein
renal function test
liver function test
thyroid function test
A 45 year old lady presents with bilateral lower limb swelling after you started her on Tablet amlodipine 10mg daily one month ago. Her blood pressure is well controlled with Tablet amlodipine.
What should you do now? You may choose more than one answer.
off tablet amlodipine
prescribe her with tablet frusemide
add Tablet preindopril
reduce the dose of amlodipine
A 45 year old lady, underwent TAHBSO operation one week ago, presents to you with left leg swelling for the past three days. She is not mobilizing because of the pain.
On examination, the left lower limb is 4cm(measured 10 cm below the tibial tuberosity) larger compare to the right lower limb and is pitting. The hormans' sign is positive.
Which are the important clinical features that support the diagnosis of Deep vein thrombosis?
You may choose more than one answer.
Hormans' sign positive
larger left calf circumference
left lower limb pitting oedema
recently bedridden
